Delivering Guidelines for COPD
and
Pharma Partnership
Dr Ninian Hewitt
Clinical Lead for Lothian
Respiratory (COPD) MCN
Lothian COPD Guidelines
Why?
• Patients needed better care and
healthcare professionals needed
concise and up-to-date information
• Outcome – Patients with COPD will
receive the best possible care
Lothian COPD Guidelines
Who?
• Patients and carers were involved from the beginning.
They gave their opinions and advice about:
– The treatment they would like
– Issues they felt needed to be addressed
– Terminology discrepancies
• We also consulted a wide range of healthcare
professionals including consultants, pharmacists,
physiotherapists, physiologists, specialist nurses, GPs,
stop smoking facilitators and many more
Lothian COPD Guidelines
What?
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Diagnosis
Risk factors
Chest x-ray
A1 antitrypsin deficiency
Co-morbidities
Treatment
Delivery systems
Pulmonary rehabilitation
Exacerbations
Referral to consultant
Discharge and follow-up
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Palliative care
Travelling with COPD
Help agencies for patients
and carers
Patient information
Contact information
Primary care exacerbation
protocol
Pulmonary rehabilitation
referral form
COPD self-management
plan
Lothian COPD Guidelines
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Lothian wide
Includes an FAQ section
Based on GOLD definitions
Equality and diversity rapid impact
assessment performed
Lothian COPD Guidelines
How?
• Meetings were held in each CHP to introduce the
guidelines along with educational sessions on
spirometry and treatment. These were attended by
almost 200 healthcare professionals
• Secondary care meetings will be held in each of the
three main hospitals to discuss the guidelines
• An audit will be performed in 2010
Partnership with ABPI Scotland
• Guided by the Scottish Executive document A
Common Understanding – Guidance on Joint
Working Between NHS Scotland and the
Pharmaceutical Industry
• Participating under the umbrella of ABPI
Scotland; AstraZeneca, Boehringer Ingelheim,
Chiesi, GlaxoSmithKline, and Pfizer
Partnership with ABPI Scotland
• Monthly meetings held between ABPI companies
and MCN management
• ABPI companies offer support and resources but do
not make decisions for the MCN
• ABPI companies have no input in treatment
recommendations
• They have been extremely helpful with event
organising, social marketing and project managing
Other achievements…
Lothian Respiratory (COPD) MCN
Thank you